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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare revenue cycle processes, EDI transactions, and payer enrollment workflows, with strong analytical skills and attention to detail. Capable of supporting implementation activities and resolving claim submission issues effectively.
Highest-signal resume keywords
Healthcare Revenue Cycle ProcessesEDI Transactions (837, 835)Payer Enrollment WorkflowsAnalytical SkillsOrganizational Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Payer Enrollment ActivitiesBilling System ConfigurationClaim SubmissionData AnalysisImplementation DiscoveryTesting ActivitiesProcess DocumentationClearinghouse Errors ResolutionElectronic Remittance Advice (ERA)Payer Connectivity
Soft Skills
Effective CommunicationAttention to DetailFollow-ThroughAbility to Learn Quickly
Tools & Technologies
Practice Management SystemsClearinghouses
Certifications & Qualifications
Associate Degree
Industry Keywords
HealthcarePayer EnrollmentEDIRevenue Cycle Management
About the role
Key responsibilities & impact- Complete standard clearinghouse and payer enrollment activities
- Assist with establishing payer connectivity for implementations
- Maintain billing system configuration data, including payer master files, provider records, libraries, and electronic and paper claim setup
- Monitor enrollment progress and escalate delays or issues
- Participate in implementation discovery and data gathering
- Support project build tasks according to established standards
- Assist with post-go-live monitoring of claims and electronic remittance activity
- Document implementation activities and outcomes
- Perform initial analysis of payer rejections and clearinghouse errors
- Resolve routine claim submission and ERA issues
- Escalate complex payer or configuration issues
- Support Service Desk and operations teams with EDI-related inquiries
- Maintain process documentation and user guides
- Participate in testing activities within non-production environments
- Validate build accuracy and identify potential issues
Requirements
What you’ll need- Associate degree or equivalent combination of education and experience
- 1–3 years of experience
- Basic understanding of healthcare revenue cycle processes
- Working knowledge of EDI transactions, including 837 and 835
- Understanding of payer enrollment workflows
- Strong analytical and organizational skills
- Effective written and verbal communication skills
- Ability to learn technical systems quickly
- Strong attention to detail and follow-through
- Experience with practice management systems preferred
- Exposure to clearinghouses and payer enrollment processes preferred
- Associates or better in Business preferred/educational qualification listed
Benefits
Comp & perks- Paid Time Off
- 9 observed holidays
- Paid family leave
- Medical insurance
- Dental insurance
- Vision insurance
- Life insurance
- Disability insurance
- Healthcare FSA
- Dependent Care FSA
- Limited Healthcare FSA
- Transportation and Parking FSAs
- Health Savings Accounts (HSAs)
- Matching 401(k) plan
- Training and professional growth opportunities
- Recognition and employee benefits